"What is the “real” trigger for this patient’s depression? Perhaps it is a combination of psychological and neurological factors. In short, the notion of “reacting” to adverse life events is complex and problematic."

A life time of mental abuse can be pretty depressing too.

No doubt Tany. I've always been a sort of pull yourself up by your bootstraps kind of gal and it took me a long time to see it's kind of hard when some ppl don't even have boots.

Debby, it took me a long time to find my boots and I'm starting to pull them up. Sometimes they slip a bit but they're staying on.

Sometimes they slip a bit but they're staying on

You go girl

The depression is mostly social, cultural and even political phenomena rather than mental or medical.